Morton, Charles T

Morton, Charles T is an individual health care provider with primary practice located at 1701 W. Curtis Road Pediatrics, Champaign IL 61822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Morton, Charles T can be contacted via phone (217) 365-6202.

Contact Information

Primary practice address
1701 W. Curtis Road Pediatrics Champaign IL 61822
Phone: (217) 365-6202
Fax: (217) 326-1234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 036114826 Illinois

Profile Details

NPI number 1548281082
LBN Legal business name Morton, Charles T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated May 7th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548281082 NPPES
Illinois Other IL2613 MEDICARE GROUP PTAN
Illinois Other P00820813 MEDICARE GROUP PTAN
Illinois Other DP5951 MEDICARE GROUP PTAN

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